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CAITLIN AZZARELLO DAKERMANDJI DO NPI 1295129377


NPI Information

NPI: 1295129377
Provider Name: CAITLIN AZZARELLO DAKERMANDJI, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-4625
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Caitlin Azzarello Dakermandji, DO is a student in an organized health care education training program in Winston Salem, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Caitlin Azzarello Dakermandji, DO NPI is 1295129377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-708
Phone: (336) 716-4625

The NPI 1295129377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 5/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant2278SOUTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003160448AMEDICAIDGEORGIA
2NPI #OTHERSOUTH CAROLINATRICARE (AFFILIATION ONLY)
31068956OTHERSOUTH CAROLINAWELLCARE
42138PAMEDICAIDSOUTH CAROLINA
5NPI #OTHERSOUTH CAROLINABLUE CHOICE, COMMERCIAL & MEDICAID
6NPI #OTHERSOUTH CAROLINABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.